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34D2176849 CLIA NUMBER - RENULIFE, LLC

Laboratory Demographics

CLIA Number: 34D2176849

Facility Name: RENULIFE, LLC

Facility Address:
304 SOUTH PINEVIEW AVENUE
GOLDSBORO, NC
ZIP 27534
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Facility Phone Number: 919 734-0266

Facility Type: Other - GROUP HOME

Certificate Type: Waiver
NPI Number: 1073712428

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name Field Value
CLIA Number 34D2176849
LAB Type Other - GROUP HOME
Facility Name RENULIFE, LLC
Street 304 SOUTH PINEVIEW AVENUE
City GOLDSBORO
State NC
ZIP 27534
Phone 919 734-0266
CertificateType 4
CertificateEffectiveDate 12/27/2023
CertificateExpirationDate 12/26/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024